| Lori R Jackson, MD | |
|
915 S Waukegan Rd, Lake Forest, IL 60045-2654 | |
| (847) 234-8866 | |
| (847) 234-4682 |
| Full Name | Lori R Jackson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 915 S Waukegan Rd, Lake Forest, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154533271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036119598 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 912 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori R Jackson, MD 2650 Ridge Ave # 1223, Evanston, IL 60201-1700 Ph: (847) 982-3175 | Lori R Jackson, MD 915 S Waukegan Rd, Lake Forest, IL 60045-2654 Ph: (847) 234-8866 |
Dr. Caitlin Mink, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 | |
Adam W. Bennett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-8500 Fax: 847-535-8488 | |
Ryan J Golden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 | |
Catherine Bach, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Westmoreland Rd Ste 220, Lake Forest, IL 60045 Phone: 847-535-8060 Fax: 847-535-8070 |